Kavikondala, Vijaya

Kavikondala, Vijaya is an individual health care provider with primary practice located at 14131 Midway Rd Suite 620, Addison TX 75001-3623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kavikondala, Vijaya can be contacted via phone (972) 249-0200.

Contact Information

Primary practice address
14131 Midway Rd Suite 620 Addison TX 75001-3623
Phone: (972) 249-0200
Fax: (972) 249-0206
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M2666 Texas

Profile Details

NPI number 1437129236
LBN Legal business name Kavikondala, Vijaya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Oct 15th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437129236 NPPES
Texas MEDICAID 177877102
Texas MEDICAID 177877101

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